Thank you for applying to be a mentor!

OUR WORK IS INFORMED BY OUR COMMITMENT TO INCLUSIVITY, QUALITY, INTEGRITY, AND OUR RESPONSIBILITY IN PROMOTING HEALTH AND WELLNESS WITHIN VULNERABLE POPULATIONS. WE BELIEVE THAT THE RIGHT GUIDANCE AND OPPORTUNITY IS NEEDED TO L.A.U.N.C.H YOUNG MEN INTO A SUCCESSFUL FUTURE AS POSITIVE ROLE MODELS THEMSELVES AND CONTRIBUTING MEMBERS OF THE COMMUNITY. L.A.U.N.C.H. represents the core values of leadership, accountability, unity, compassion, community, and honor.

Requirements to become a L.A.U.N.C.H. mentor:
- 12-month commitment
- Attendance and participation at group events at a minimum of once per month or equal to 4 hours a month
- Completion of pre-camp interview, training, and background check
- Attend 4 mentor check-ins/trainings over the 12 month period
- Respond to L.A.U.N.C.H requests, invites and communication within 72 hours of receipt

Our organization applies a group mentorship approach with the opportunity to develop your skills, improve your well-being and that of our participants, and to strengthen our community. Events will be scheduled on the weekends and follow the Chesterfield County Public Schools calendar.

Please complete the questions below to the best of your ability. A team member will contact you with next steps after reviewing your application. The information contained on the completed form is confidential and will not be shared with persons outside of the mentor selection committee.

Sign in to Google to save your progress. Learn more
First and Last Name: *
Date of birth: *
MM
/
DD
/
YYYY
Email address: *
Phone number (including area code): *
Address: *
Are you prepared to commit to participating in this 12-month program to include attendance at one event per month or equal to 4 hours a month (minimum)? *
Are you able to attend all three days of the L.A.U.N.C.H. kick-off camp on August 9, 10, and 11th? (from 9-4:00)
Clear selection
If you can't attend all 3 days of camp, please indicate which days you can attend.
Are you willing to communicate regularly and openly with organization staff and receive feedback about any possible difficulties during your participation in this mentoring program? *
Have you had a background investigation completed within the past year (ex: through your employer or another organization), and if so can you provide verification? *
Do you consent to a county, state, and/or national background check? *
Have you ever been investigated, arrested, or convicted of a crime; including a felony and/or misdemeanor (excluding minor traffic offenses)? *
Please share any experience you may have in working with children and young men. (Can include personal, volunteer, and professional experiences.) *
Have positive male role models impacted your life?  If so, please explain why. *
What specific skills, hobbies, and experiences could be helpful in your role as a mentor and/or this program? *
Why do you want to mentor with L.A.U.N.C.H for Life? *
L.A.U.N.C.H. strives to be inclusive of all people. For you, what does masculinity mean to you? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms